Basic Information
| Provider Information | |||||||||
| NPI: | 1912203423 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BORJON | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | SUE | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 814 CRAIG AVE SW # 2 | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553503010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202962227 | ||||||||
| FaxNumber: | 3202347950 | ||||||||
| Practice Location | |||||||||
| Address1: | 814 CRAIG AVE SW # 2 | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553503010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202962227 | ||||||||
| FaxNumber: | 3202347950 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2011 | ||||||||
| LastUpdateDate: | 01/31/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R188236-6 | MN | Y | Nursing Service Providers | Registered Nurse |
No ID Information.